MADISON COUNTY HEALTH DEPTARTMENT (NPI# 1568999175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568999175 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY HEALTH DEPTARTMENT |
| Practice Address |
138 North Court St Wampsville NY 13163 |
| Practice Telephone | 3153662361 |
| Mailing Telephone | 3153662361 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | MR. ERIC FAISST (DIRECTOR) |
| Authorized Official Telephone | 3153662361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1750406161 | 05 |
| Street Address |
138 NORTH COURT ST |
| City | WAMPSVILLE |
| State | NY |
| Zip Code | 13163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992732952 | Danielle Smith Licitra | Social Worker | 138 North Court St, Wampsville, NY 13163-0608 | 2006-06-27 |
| 1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
| 1134521545 | Karen Burgwin | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163-0605 | 2014-09-17 |
| 1033518444 | Denice Ann Townsend | Licensed Practical Nurse | 138 North Court St, Wampsville, NY 13163 | 2014-08-21 |
| 1124461975 | Errol Richard Dodd | Registered Nurse | 138 North Court St, Wampsville, NY 13163-0608 | 2013-04-11 |
| 1164784468 | Linda S Fellows | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2012-06-12 |
| 1770842676 | Theresa Lorraine Gibbs | Counselor | 138 North Court St, Veteran's Memorial Building, 2nd Floor, Wampsville, NY 13163 | 2012-05-11 |
| 1366772840 | Sarah Jeanne Fish Law | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2010-01-06 |
| 1639327984 | Gregory William Owens | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2008-08-28 |
| 1588840037 | Catherine Becallo Smith | Social Worker | 138 North Court St, Madison County Mental Health Department, Wampsville, NY 13163-0608 | 2008-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824462 | Beth Perry | Social Worker | 138 N Court Street, Wampsville, NY 13163 | 2014-09-18 |
| 1659529949 | Timothy Gerard Brown | Social Worker | 138 N. Court St, Wampsville, NY 13163 | 2008-08-29 |
| 1477752376 | Muftah A. Kadura, Md | Internal Medicine | 235 Genesee St, Wampsville, NY 13163 | 2007-07-12 |
| 1881719888 | Kenneth Edward Hefty | Counselor | 138 North Court Rd, Wampsville, NY 13163 | 2007-03-20 |
| 1518990811 | Denise Michelle Calcagnino | Counselor | Veterans Memorial Building, North Court Street, Wampsville, NY 13163 | 2006-07-09 |
| 1871157065 | Mallory Kleps | Counselor | 138 N Court St, Wampsville, NY 13163 | 2019-04-24 |
| 1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
| 1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
| 1194276451 | Susan Sweetland | Student in an Organized Health Care Education/Training Program | 138 N Court St, Wampsville, NY 13163 | 2016-10-20 |
| 1003365792 | Stephanie Ann Thompson | Social Worker | 138 North Court Street, Wampsville, NY 13163 | 2016-09-23 |
| Find all providers in zip 13163 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669931572 | Julia Wootton | Case Manager/Care Coordinator | 138 N Court St, Wampsville, NY 13163-0605 | 2019-03-19 |
| 1134521545 | Karen Burgwin | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163-0605 | 2014-09-17 |
| 1346580248 | Michelle Dawn Talley | Case Manager/Care Coordinator | 138 North Court St., Wampsville, NY 13163-0605 | 2013-03-01 |
| 1467714378 | Sharon A Lancette | Case Manager/Care Coordinator | 138 N Court St., Wampsville, NY 13163-0605 | 2012-06-15 |
| 1700148079 | Lori Brockway | Case Manager/Care Coordinator | 138 North Court Street, Wampsville, NY 13163-0605 | 2012-06-13 |
| 1164784468 | Linda S Fellows | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
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| City | WAMPSVILLE |
| Zip Code | 13163 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.